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I am infertile. But how do you define infertility? How long should it take to get pregnant? It is perhaps best to avoid using a time-scale as the sole factor to define fertility problems. It would be more relevant for you to discuss with your health professional your particular circumstances. In research studies often a cut-off time of attempting to conceive for a year or two is used to define infertility. Research shows that about 14 per cent of women experience infertility; they fail to conceive within two years. However, this statistic might be slightly misleading since around half of these women subsequently go on to have a child. Perhaps what is surprising, given the current climate of much media attention being given to the subject of fertility and fertility treatment, research has shown that only half of these women seek any medical advice. Other research has shown that the pattern of seeking help is changing very rapidly. In the past 25 years far more women and men are now seeking help for fertility-related issues. A vast array of different aspects of the process of conception needs to be blamed: for women there may be problems with ovulation, a previous ectopic pregnancy or an infection may have damaged the fallopian tube. For men, a range of issues to do with the quantity and motility of the sperm may be relevant. These types of problems are termed primary fertility problems. However, it is interesting to highlight that some of the reasons for not getting pregnant are not simply a 'technical' fault of the reproductive system or primary infertility, some of the reasons stem from a complicated mixture of physical and psychological reasons. These problems are termed secondary infertility. Primary problems lead themselves to investigation but sometimes no physical problems can be identified and a group of people have ,what is termed 'unexplained' infertility. Clearly, the psychological costs of such a diagnosis are high. Sometimes the causes of infertility can be directly due to other problems, illnesses or drug treatments. Sometimes you will have been directly informed of these risks, e.g. that a particular type of medication causes impotence. However, other problems may be hidden: a previous history of anorexia nervosa can lead to fertility problems but if the eating problems were never recognized in the past, then this reason may not be apparent. Other more subtle influences on fertility are drinking and smoking which are clear factors that can be changed. Often the inability to get pregnant is related to sexual difficulties. There are probably no problems relating to actual conception but the relationship is either not consummated or intercourse is rare. These clearly are problems of conception but the solutions are not very easy.
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